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Atrial septal defects (ASD) can lead to exercise intolerance, pulmonary hypertension, right heart failure, and reduced life expectancy if they are not repaired. Surgical closure for ASD transformed the care of these patients and resulted in similar life expectancy to subjects without ASD. In recent years, transcatheter ASD closure has largely replaced surgery, but long-term data comparing the two techniques are limited.

Adults with Atrial Septal Defects — Surgical or Transcatheter Closure?